tci Outpatient Facility Coding Alert - 2014 Issue 7

Reader Question: Code 14040 Suffices for Lesion Removal and Tissue Transfer

Question: The dermatologist performed an adjacent tissue transfer. Should I also code for the associated lesion removal? Florida Subscriber Answer: Unlike intermediate or complex closures, you cannot report lesion removal if the dermatologist performed adjacent tissue transfer, because the tissue transfer is part of the lesion removal. The dermatologist performs an adjacent tissue transfer after the scar is excised and debrided,  As the adjacent tissue transfer includes repair, don’t code separately for repair. You should code the tissue transfer procedure as 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet...

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